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Individual

PAIGE REBECCA MALLETTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1 MERCADO ST, STE 202, DURANGO, CO 81301-7306
(970) 247-5362
(970) 259-6045
Mailing address
1 MERCADO ST, STE 202, DURANGO, CO 81301-7306
(970) 247-5362
(970) 259-6045

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
A134364
CA
207X00000X
Orthopaedic Surgery Physician
Primary
DR.0056893
CO

Other

Enumeration date
03/30/2010
Last updated
08/29/2016
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